Suppression of maternal pituitary thyroid-stimulating hormone during pregnancy. 1990

J Brotherton
Department of Gynaecological Endocrinology, Sterility and Family Planning, Klinikum Steglitz, Free University of Berlin, FRG.

Maternal serum thyroid-stimulating hormone (TSH) has been estimated in 38 pregnant women with three new specific nonradioactive monoclonal immunoassays which can measure very low concentrations. Values for the Pharmacia-LKB 'DELFIA' fluoroimmunoassay and for the Amersham 'Amerlite' luminescence immunoassay were statistically identical over the range 0.15-1.5 uIU/ml WHO 2nd IRP 80/558, but thereafter the Amersham values were slightly lower. The Abbott 'IMx' assay system gave slightly higher results commensurate with the quoted higher non-pregnant normal values. The Amersham assay was preferred on practical grounds. There was no relationship of TSH levels to HCG levels, or to the length of pregnancy. Four women had apparently zero TSH levels by the Amersham and Pharmacia-LKB assays, although the Abbott assay could detect very low concentrations. Together with women whose TSH levels were below the normal non-pregnant range for each assay, there were a total of eight women (21%) with TSH levels below 'normal'. This suppression of maternal pituitary TSH levels during pregnancy was considered to be due to the central feedback inhibitory thyrotrophic activity of HCG, as a separate placental thyrotrophic hormone is believed not to exist. The enlargement of the maternal thyroid gland and the increased production of thyroid hormones during normal pregnancy is likewise to be attributed to HCG rather than to an increase in TSH production.

UI MeSH Term Description Entries
D007118 Immunoassay A technique using antibodies for identifying or quantifying a substance. Usually the substance being studied serves as antigen both in antibody production and in measurement of antibody by the test substance. Immunochromatographic Assay,Assay, Immunochromatographic,Assays, Immunochromatographic,Immunoassays,Immunochromatographic Assays
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D005260 Female Females
D006063 Chorionic Gonadotropin A gonadotropic glycoprotein hormone produced primarily by the PLACENTA. Similar to the pituitary LUTEINIZING HORMONE in structure and function, chorionic gonadotropin is involved in maintaining the CORPUS LUTEUM during pregnancy. CG consists of two noncovalently linked subunits, alpha and beta. Within a species, the alpha subunit is virtually identical to the alpha subunits of the three pituitary glycoprotein hormones (TSH, LH, and FSH), but the beta subunit is unique and confers its biological specificity (CHORIONIC GONADOTROPIN, BETA SUBUNIT, HUMAN). Chorionic Gonadotropin, Human,HCG (Human Chorionic Gonadotropin),Biogonadil,Choriogonadotropin,Choriogonin,Chorulon,Gonabion,Human Chorionic Gonadotropin,Pregnyl,Gonadotropin, Chorionic,Gonadotropin, Human Chorionic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013961 Thyroid Gland A highly vascularized endocrine gland consisting of two lobes joined by a thin band of tissue with one lobe on each side of the TRACHEA. It secretes THYROID HORMONES from the follicular cells and CALCITONIN from the parafollicular cells thereby regulating METABOLISM and CALCIUM level in blood, respectively. Thyroid,Gland, Thyroid,Glands, Thyroid,Thyroid Glands,Thyroids
D013972 Thyrotropin A glycoprotein hormone secreted by the adenohypophysis (PITUITARY GLAND, ANTERIOR). Thyrotropin stimulates THYROID GLAND by increasing the iodide transport, synthesis and release of thyroid hormones (THYROXINE and TRIIODOTHYRONINE). Thyrotropin consists of two noncovalently linked subunits, alpha and beta. Within a species, the alpha subunit is common in the pituitary glycoprotein hormones (TSH; LUTEINIZING HORMONE and FSH), but the beta subunit is unique and confers its biological specificity. Thyroid-Stimulating Hormone,TSH (Thyroid Stimulating Hormone),Thyreotropin,Thyrotrophin,Hormone, Thyroid-Stimulating,Thyroid Stimulating Hormone
D015200 Fluoroimmunoassay The use of fluorescence spectrometry to obtain quantitative results for the FLUORESCENT ANTIBODY TECHNIQUE. One advantage over the other methods (e.g., radioimmunoassay) is its extreme sensitivity, with a detection limit on the order of tenths of microgram/liter. Immunofluorometric Assay,Time-Resolved Immunofluorometric Assay,Assay, Immunofluorometric,Assay, Time-Resolved Immunofluorometric,Assays, Immunofluorometric,Assays, Time-Resolved Immunofluorometric,Fluoroimmunoassays,Immunofluorometric Assay, Time-Resolved,Immunofluorometric Assays,Immunofluorometric Assays, Time-Resolved,Time Resolved Immunofluorometric Assay,Time-Resolved Immunofluorometric Assays

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